Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $804.71 / $1,352.73	Facility		$369.75	$804.71	$1,352.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $369.75 / $573.11	Professional		$338.18	$369.75	$573.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $1,909.60 / $5,964.89	Facility		$608.72	$1,909.60	$5,964.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $311.13 / $347.20	Professional		$3.50	$311.13	$347.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.07 / $1,002.25 / $2,075.77	Facility		$572.07	$1,002.25	$2,075.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $549.41 / $761.11	Professional		$220.05	$549.41	$761.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $721.46 / $1,229.52	Professional		$459.93	$721.46	$1,229.52
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $586.17 / $586.17	Professional		$586.17	$586.17	$586.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $613.24 / $676.37	Professional		$44.25	$613.24	$676.37
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $451.59	Professional		$189.38	$270.55	$451.59